NPI | 1205226891 |
---|---|
Entity Type | Organization |
Authorized Contact | MIMA RANSOM Business Manager 714-966-2312 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA psy22346) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2015-02-03 |